Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 1172 | CA |
Y | 225XG0600X | Occupational Therapist - Gerontology | 1172 | CA |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 1172 | CA |
NPI | 1760714232 |
---|---|
Provider Name | Katherine Voss |
First Address | Bakersfield, CA 93314-5257 |
Second Address | Bakersfield, CA 93306-7067 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2010 |
Last Update Date | 08/02/2010 |